Individual provider Active NPI

Sandra K. Huffman, LPT

  • Physical Therapist
  • Wapakoneta, OH
National Provider Identifier
1083776447
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003724 Issued in OH
Practice address
410 N Dixie Hwy
Wapakoneta, OH 45895-7757
Phone
(419) 738-9675
Fax
(567) 356-4334
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-03724 OH
Physical Therapist 225100000X 003724 OH Primary

Addresses

Primary practice location

410 N Dixie Hwy
Wapakoneta, OH 45895-7757

Mailing address

PO Box 101
Wapakoneta, OH 45895-0101
Phone (419) 738-9675

Other identifiers 6

IdentifierTypeStateIssuer
0882979MedicaidOH
34169328700OtherOHWORKERS COMP
4508225OtherOHAETNA
650006113OtherOHRAILROAD MEDICARE
000000167400OtherOHANTHEM
738822OtherOHBUCKEYE COMMUNITY HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071126000749 OH Practitioner - Physical Therapist in Private Practice 1850489998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

410 N Dixie Hwy
Wapakoneta, OH 45895-7757
Phone (419) 738-9675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003724OHMDPhysical Therapist
PT-03724OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Works of Wapakoneta Inc Physical Therapist CurrentSince Feb 20, 1992 Accepting new patients

Locations

1251 Lincoln Hwy
Ste 3
Wapakoneta, OH 45895
Phone (419) 738-9675

1251 Lincoln Hwy
Wapakoneta, OH 45895
Phone (419) 586-7874

410 N Dixie Hwy
Wapakoneta, OH 45895
Phone (419) 738-9675

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1083776447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458950101",
            "telephone_number": "419-738-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N DIXIE HWY",
            "city": "WAPAKONETA",
            "state": "OH",
            "postal_code": "458957757",
            "telephone_number": "419-738-9675",
            "fax_number": "567-356-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "SANDRA",
        "middle_name": "K.",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-03724",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "003724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0882979",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "34169328700",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4508225",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "650006113",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000167400",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE COMMUNITY HEALTH",
            "identifier": "738822",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wapakoneta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.